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This is a multicentre, randomized, blinded, double dummy, parallel group study to evaluate the efficacy and safety of UMEC inhalation powder[ (62.5 microgram (mcg) once daily (QD)] when administered via a novel Dry Powder Inhaler compared with tiotropium (18 mcg QD) administered via a HANDIHALER® inhaler over a treatment period of 12 weeks (24 weeks in Germany) in subjects with chronic obstructive pulmonary disease (COPD). At the end of the run-in period, subjects who meet the randomization criteria will be randomized to receive UMEC 62.5 mcg administered via novel dry powder inhaler(nDPI) + Placebo administered via HANDIHALER inhaler OR Tiotropium 18 mcg administered via HANDIHALER inhaler + Placebo administered via nDPI in a 1:1 ratio. There will be up to 8 clinic visits conducted on an outpatient basis at Pre-Screening (Visit 0), Screening (Visit 1), a 7 to 14 day run-in period, randomization at Day 1 (Visit 2), and after randomization at Day 2 (Visit 3), Day 28 (Visit 4), Day 56 (Visit 5), Day 84 (Visit 6) and Day 85 (Visit 7). For subjects enrolled in Germany, there will be an additional 3 visits at Day 112 (Visit 8), Day 140 (Visit 9) and Day 168 (Visit 10). The total duration of subject participation in the study will be approximately 15 weeks (27 weeks in Germany). The primary endpoint of the study is clinic visit trough forced expiratory volume in one second (FEV1) on treatment Day 85. All subjects will have spirometry performed at clinic Visits 1 though 7. Trough spirometry will be obtained 23 and 24 hours after the previous day's dose of blinded study medication at Visits 3 to 7.
HANDIHALER is a registered trademark of Boehringer Ingelheim Pharma GmbH & Co. KG.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Umeclidinium 62.5 mcg + placebo | Experimental | Subjects will receive UMEC Inhalation Powder 62.5 mcg once daily via nDPI plus placebo once daily via HANDIHALER inhaler for 12 weeks (24 weeks in Germany). Subjects will be instructed to take one inhalation each morning from both the nDPI and the HANDIHALER inhaler |
|
| Tiotropium 18mcg + placebo | Active Comparator | Subjects will receive Tiotropium 18 mcg once daily via HANDIHALER inhaler plus placebo once daily via nDPI for 12 weeks (24 weeks in Germany). Subjects will be instructed to take one inhalation each morning from both the nDPI and the HANDIHALER inhaler |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Umeclidinium | Drug | Umeclidinium 62.5 mcg once daily in the morning via nDPI |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) on Day 85 | FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 85 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Day 84 (Week 12). Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84 and 85. Baseline trough FEV1 is the mean of the two assessments made -30 and -5 minutes (min) pre-dose on Day 1. Change from baseline was calculated as the trough FEV1 value on Day 85 minus the BL value. Analysis performed using a repeated measures model with covariates of treatment, baseline FEV1, centre group, 24 hour subset flag, Day, Day by baseline and Day by treatment interactions. The least squares mean changes are presented here. | Baseline (BL) and Day 85 |
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Inclusion Criteria:
Non-child bearing potential (i.e., physiologically incapable of becoming pregnant, including any female who is post-menopausal or surgically sterile). Surgically sterile females are defined as those with a documented hysterectomy and/or bilateral oophorectomy or tubal ligation. Post-menopausal females are defined as being amenorrhoeic for greater than 1 year with an appropriate clinical profile, e.g., age appropriate, > 45 years, in the absence of hormone replacement therapy. OR Child bearing potential, has a negative pregnancy test at screening, and agrees to one of the acceptable contraceptive methods used consistently and correctly (i.e., in accordance with the approved product label and the instructions of the physician for the duration of the study - screening to follow-up contact). - Diagnosis: An established clinical history of COPD in accordance with the definition by the American Thoracic Society/European Respiratory Society
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| GSK Clinical Trials | GlaxoSmithKline | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| GSK Investigational Site | Spartanburg | South Carolina | 29303 | United States | ||
| GSK Investigational Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29773969 | Derived | Shah D, Driessen M, Risebrough N, Baker T, Naya I, Briggs A, Ismaila AS. Cost-effectiveness of umeclidinium compared with tiotropium and glycopyrronium as monotherapy for chronic obstructive pulmonary disease: a UK perspective. Cost Eff Resour Alloc. 2018 May 10;16:17. doi: 10.1186/s12962-018-0101-3. eCollection 2018. | |
| 27103795 |
| Label | URL |
|---|---|
| Researchers can use this site to request access to anonymised patient level data and/or supporting documents from clinical studies to conduct further research. | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| 201316 | Clinical Study Report | View IPD |
Patient-level data for this study will be made available through www.clinicalstudydatarequest.com following the timelines and process described on this site.
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Participants (Par.), with clinical history of chronic obstructive pulmonary disease, who met eligibility criteria at screening were enrolled in a 7 to 14 days run-in period. Eligible par. were randomized (1:1) to receive umeclidinium or tiotropium. A total of 1214 par. were screened; 1017 par. were randomized and entered into the study.
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| ID | Title | Description |
|---|---|---|
| FG000 | Umeclidinium 62.5 mcg+Placebo QD | Participants received umeclidinium (UMEC) inhalation powder 62.5 microgram (mcg) once-daily (QD) in morning via a novel dry powder inhaler (nDPI) and placebo QD via alternative dry powder inhaler (DPI) for 12 weeks (For participants enrolled in Germany, the duration of treatment was 24 weeks). Participants also received albuterol/salbutamol via metered-dose-inhaler (MDI) or nebules as rescue medication throughout the study for use as needed. |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Umeclidinium matching placebo | Drug | Umeclidinium matching placebo once daily in the morning via nDPI |
|
| Tiotropium | Drug | Tiotropium 18 mcg once daily in the morning via HANDIHALER inhaler |
|
| Tiotropium matching placebo | Drug | Tiotropium matching placebo once daily in the morning via HANDIHALER inhaler |
|
| Buenos Aires |
| C1425BEN |
| Argentina |
| GSK Investigational Site | Buenos Aires | C1426ABP | Argentina |
| GSK Investigational Site | Winnipeg | Manitoba | R2K 3S8 | Canada |
| GSK Investigational Site | St. John's | Newfoundland and Labrador | A1A 3R5 | Canada |
| GSK Investigational Site | Truro | Nova Scotia | B2N 1L2 | Canada |
| GSK Investigational Site | Greater Sudbury | Ontario | P3E 1H5 | Canada |
| GSK Investigational Site | Toronto | Ontario | M3J 2C5 | Canada |
| GSK Investigational Site | Toronto | Ontario | M5G 1N8 | Canada |
| GSK Investigational Site | Montreal | Quebec | H2R 1V6 | Canada |
| GSK Investigational Site | Québec | Quebec | G1V 4G5 | Canada |
| GSK Investigational Site | Québec | Quebec | G1W 4R4 | Canada |
| GSK Investigational Site | Saint-Charles-Borromée | Quebec | J6E 2B4 | Canada |
| GSK Investigational Site | Sherbrooke | Quebec | J1H 5N4 | Canada |
| GSK Investigational Site | Santiago | Región Metro de Santiago | 7500692 | Chile |
| GSK Investigational Site | Santiago | Región Metro de Santiago | 7860406 | Chile |
| GSK Investigational Site | Santiago | Región Metro de Santiago | 8360160 | Chile |
| GSK Investigational Site | ValparaÃso | Valparaiso | 2341131 | Chile |
| GSK Investigational Site | Talcahuano | 4270918 | Chile |
| GSK Investigational Site | Aarhus C | 8000 | Denmark |
| GSK Investigational Site | Hvidovre | 2650 | Denmark |
| GSK Investigational Site | København NV | 2400 | Denmark |
| GSK Investigational Site | Odense | DK-5000 | Denmark |
| GSK Investigational Site | Bletterans | 39140 | France |
| GSK Investigational Site | Nantes | 44277 | France |
| GSK Investigational Site | Toulon | 83000 | France |
| GSK Investigational Site | Tours | 37100 | France |
| GSK Investigational Site | Vieux-Condé | 59690 | France |
| GSK Investigational Site | Aschaffenburg | Bavaria | 63739 | Germany |
| GSK Investigational Site | Frankfurt am Main | Hesse | 60389 | Germany |
| GSK Investigational Site | Neu-Isenburg | Hesse | 63263 | Germany |
| GSK Investigational Site | Rodgau | Hesse | 63110 | Germany |
| GSK Investigational Site | Wiesbaden | Hesse | 65187 | Germany |
| GSK Investigational Site | Dresden | Saxony | 01069 | Germany |
| GSK Investigational Site | Teuchern | Saxony-Anhalt | 06682 | Germany |
| GSK Investigational Site | Schmölln | Thuringia | 04626 | Germany |
| GSK Investigational Site | Berlin | 10117 | Germany |
| GSK Investigational Site | Berlin | 10717 | Germany |
| GSK Investigational Site | Berlin | 13156 | Germany |
| GSK Investigational Site | Riccione (RN) | Emilia-Romagna | 47838 | Italy |
| GSK Investigational Site | Milan | Lombardy | 20138 | Italy |
| GSK Investigational Site | Torrette (AN) | The Marches | 60020 | Italy |
| GSK Investigational Site | Pisa | Tuscany | 56124 | Italy |
| GSK Investigational Site | Negrar | Veneto | 37024 | Italy |
| GSK Investigational Site | Bacau | 600252 | Romania |
| GSK Investigational Site | Brăila | 810003 | Romania |
| GSK Investigational Site | Bucharest | 030303 | Romania |
| GSK Investigational Site | Codlea | 505100 | Romania |
| GSK Investigational Site | Comuna Alexandru Cel Bun | 617507 | Romania |
| GSK Investigational Site | Deva | 330084 | Romania |
| GSK Investigational Site | FocÅŸani | 620043 | Romania |
| GSK Investigational Site | Galati | 800189 | Romania |
| GSK Investigational Site | PloieÅŸti | 100379 | Romania |
| GSK Investigational Site | Timișoara | 300310 | Romania |
| GSK Investigational Site | Arkhangelsk | 153000 | Russia |
| GSK Investigational Site | Arkhangelsk | 163001 | Russia |
| GSK Investigational Site | Barnaul | 656 045 | Russia |
| GSK Investigational Site | Irkutsk | 664003 | Russia |
| GSK Investigational Site | Izhevsk | 426063 | Russia |
| GSK Investigational Site | Kemerovo | 650002 | Russia |
| GSK Investigational Site | Moscow | 115 280 | Russia |
| GSK Investigational Site | Moscow | 117997 | Russia |
| GSK Investigational Site | Novosibirsk | 630102 | Russia |
| GSK Investigational Site | Saint Petersburg | 194354 | Russia |
| GSK Investigational Site | Saint Petersburg | 194356 | Russia |
| GSK Investigational Site | Saint Petersburg | 196084 | Russia |
| GSK Investigational Site | Saint Petersburg | 198216 | Russia |
| GSK Investigational Site | Saint Petersburg | 198260 | Russia |
| GSK Investigational Site | Saint Petersburg | Russia |
| GSK Investigational Site | Sestroretsk | 197706 | Russia |
| GSK Investigational Site | Sochi | 354057 | Russia |
| GSK Investigational Site | Stavropol | 355017 | Russia |
| GSK Investigational Site | Tomsk | 634050 | Russia |
| GSK Investigational Site | Ufa | 450071 | Russia |
| GSK Investigational Site | Vladimir | 600023 | Russia |
| GSK Investigational Site | Port Elizabeth | Eastern Cape | 6001 | South Africa |
| GSK Investigational Site | Boksburg | Gauteng | 1459 | South Africa |
| GSK Investigational Site | Bellville | 7530 | South Africa |
| GSK Investigational Site | Durban | 4001 | South Africa |
| GSK Investigational Site | Korsten | 6014 | South Africa |
| GSK Investigational Site | Lynnwood Ridge, Pretoria | 0040 | South Africa |
| GSK Investigational Site | Mowbray | 7700 | South Africa |
| GSK Investigational Site | Somerset West | 7130 | South Africa |
| GSK Investigational Site | Vrededorp | 2129 | South Africa |
| GSK Investigational Site | Welkom | 9460 | South Africa |
| GSK Investigational Site | Bucheon-Si, Gyeonggi-Do | 420-767 | South Korea |
| GSK Investigational Site | Seoul | 130-709 | South Korea |
| GSK Investigational Site | Seoul | 134-814 | South Korea |
| GSK Investigational Site | Seoul | 136-705 | South Korea |
| GSK Investigational Site | Seoul | 156-707 | South Korea |
| GSK Investigational Site | Wonju-si, Gangwon-do | 220-701 | South Korea |
| GSK Investigational Site | Dnipropetrovsk | 49074 | Ukraine |
| GSK Investigational Site | Kharkiv | 61002 | Ukraine |
| GSK Investigational Site | Kharkiv | 61039 | Ukraine |
| GSK Investigational Site | Kiev | 03680 | Ukraine |
| GSK Investigational Site | Kryvyi Rig | 50096 | Ukraine |
| GSK Investigational Site | Kyiv | 03038 | Ukraine |
| GSK Investigational Site | Poltava | 36038 | Ukraine |
| GSK Investigational Site | Zaporizhzhia | 69050 | Ukraine |
| Feldman G, Maltais F, Khindri S, Vahdati-Bolouri M, Church A, Fahy WA, Trivedi R. A randomized, blinded study to evaluate the efficacy and safety of umeclidinium 62.5 mug compared with tiotropium 18 mug in patients with COPD. Int J Chron Obstruct Pulmon Dis. 2016 Apr 7;11:719-30. doi: 10.2147/COPD.S102494. eCollection 2016. |
For additional information about this study please refer to the GSK Clinical Study Register |
| 201316 | Annotated Case Report Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 201316 | Statistical Analysis Plan | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 201316 | Study Protocol | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 201316 | Dataset Specification | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 201316 | Individual Participant Data Set | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| 201316 | Informed Consent Form | View IPD | For additional information about this study please refer to the GSK Clinical Study Register |
| FG001 | Tiotropium 18 mcg+Placebo QD | Participants received tiotropium (TIO) 18 mcg QD in morning via DPI and placebo QD via nDPI for 12 weeks (For participants enrolled in Germany, the duration of treatment was 24 weeks). Participants also received albuterol/salbutamol via MDI or nebules as rescue medication throughout the study for use as needed. |
| COMPLETED |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Umeclidinium 62.5 mcg+Placebo QD | Participants received umeclidinium (UMEC) inhalation powder 62.5 microgram (mcg) once-daily (QD) in morning via a novel dry powder inhaler (nDPI) and placebo QD via alternative dry powder inhaler (DPI) for 12 weeks (For participants enrolled in Germany, the duration of treatment was 24 weeks). Participants also received albuterol/salbutamol via metered-dose-inhaler (MDI) or nebules as rescue medication throughout the study for use as needed. |
| BG001 | Tiotropium 18 mcg+Placebo QD | Participants received tiotropium (TIO) 18 mcg QD in morning via DPI and placebo QD via nDPI for 12 weeks (For participants enrolled in Germany, the duration of treatment was 24 weeks). Participants also received albuterol/salbutamol via MDI or nebules as rescue medication throughout the study for use as needed. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Change From Baseline in Trough Forced Expiratory Volume in One Second (FEV1) on Day 85 | FEV1 is a measure of lung function and is defined as the maximal amount of air that can be forcefully exhaled in one second. Trough FEV1 on Day 85 is defined as the mean of the FEV1 values obtained 23 and 24 hours after dosing on Day 84 (Week 12). Trough FEV1 measurements were taken electronically by spirometry on Days 2, 28, 56, 84 and 85. Baseline trough FEV1 is the mean of the two assessments made -30 and -5 minutes (min) pre-dose on Day 1. Change from baseline was calculated as the trough FEV1 value on Day 85 minus the BL value. Analysis performed using a repeated measures model with covariates of treatment, baseline FEV1, centre group, 24 hour subset flag, Day, Day by baseline and Day by treatment interactions. The least squares mean changes are presented here. | Per Protocol(PP) Population(pop): Participants(par) in the Intent-To-Treat pop who did not have a full protocol deviation considered to impact efficacy. Par represent those with data available at time point presented; however, all par. in the PP pop. without missing covariate information and >=1 post BL measurement are included in analysis | Posted | Least Squares Mean | Standard Error | Liter | Baseline (BL) and Day 85 |
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On-treatment(trt) non-serious adverse events(AEs) and serious AEs are events occurring while par were on trt or events with an onset during follow-up period(up to 13 weeks). AE data for German subjects are only included for the first 12 weeks of trt.
On-treatment non-serious AEs and SAEs were reported for the ITT Population comprised all participants randomized to treatment who received at least one dose of randomized study medication in the treatment period.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Umeclidinium 62.5 mcg+Placebo QD | Participants received umeclidinium (UMEC) inhalation powder 62.5 microgram (mcg) once-daily (QD) in morning via a novel dry powder inhaler (nDPI) and placebo QD via alternative dry powder inhaler (DPI) for 12 weeks (For participants enrolled in Germany, the duration of treatment was 24 weeks). Participants also received albuterol/salbutamol via metered-dose-inhaler (MDI) or nebules as rescue medication throughout the study for use as needed. | 17 | 509 | 50 | 509 | ||
| EG001 | Tiotropium 18 mcg+Placebo QD | Participants received tiotropium (TIO) 18 mcg QD in morning via DPI and placebo QD via nDPI for 12 weeks (For participants enrolled in Germany, the duration of treatment was 24 weeks). Participants also received albuterol/salbutamol via MDI or nebules as rescue medication throughout the study for use as needed. | 16 | 508 | 52 | 508 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Chronic obstructive pulmonary disease | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment |
| |
| Bronchospasm | Respiratory, thoracic and mediastinal disorders | MedDRA | Systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Localised infection | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Lobar pneumonia | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Infective exacerbation of chronic obstructive airway disease | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Appendicitis perforated | Infections and infestations | MedDRA | Systematic Assessment |
| |
| Tibia fracture | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
| |
| Rib fracture | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
| |
| Hip fracture | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
| |
| Alcohol poisoning | Injury, poisoning and procedural complications | MedDRA | Systematic Assessment |
| |
| Prostate cancer | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Systematic Assessment |
| |
| Non-Hodgkin's lymphoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Systematic Assessment |
| |
| Lung adenocarcinoma metastatic | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Systematic Assessment |
| |
| Bronchial carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA | Systematic Assessment |
| |
| Hypertension | Vascular disorders | MedDRA | Systematic Assessment |
| |
| Deep vein thrombosis | Vascular disorders | MedDRA | Systematic Assessment |
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| Congestive cardiomyopathy | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Atrial fibrillation | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Angina unstable | Cardiac disorders | MedDRA | Systematic Assessment |
| |
| Pancreatitis | Gastrointestinal disorders | MedDRA | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA | Systematic Assessment |
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| Syncope | Nervous system disorders | MedDRA | Systematic Assessment |
| |
| Seizure | Nervous system disorders | MedDRA | Systematic Assessment |
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| Cholecystitis acute | Hepatobiliary disorders | MedDRA | Systematic Assessment |
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| Type 2 diabetes mellitus | Metabolism and nutrition disorders | MedDRA | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Headache | Nervous system disorders | MedDRA | Systematic Assessment |
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| Nasopharyngitis | Infections and infestations | MedDRA | Systematic Assessment |
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GSK agreements may vary with individual investigators, but will not prohibit any investigator from publishing. GSK supports the publication of results from all centers of a multi-center trial but requests that reports based on single-site data not precede the primary publication of the entire clinical trial.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| GSK Response Center | GlaxoSmithKline | 866-435-7343 |
| ID | Term |
|---|---|
| D029424 | Pulmonary Disease, Chronic Obstructive |
| ID | Term |
|---|---|
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| C573971 | GSK573719 |
| D000069447 | Tiotropium Bromide |
| ID | Term |
|---|---|
| D012602 | Scopolamine Derivatives |
| D014326 | Tropanes |
| D053961 | Azabicyclo Compounds |
| D001372 | Aza Compounds |
| D009930 | Organic Chemicals |
| D000470 | Alkaloids |
| D006571 | Heterocyclic Compounds |
| D019086 | Bridged Bicyclo Compounds, Heterocyclic |
| D006572 | Heterocyclic Compounds, Bridged-Ring |
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| Male |
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| American Indian or Alaska Native |
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| Central/South Asian Heritage |
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| Japanese/East Asian/South East Asian Heritage |
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| White |
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| African American/African Heritage & White |
|